PROFESSIONAL ADJUSTMENT AND NURSING JURISPRUDENCE

Professional
 A calling in which its members profess to have acquired special values,
knowledge, training or by experience so that they may guide others in that
special field.
Nursing is a profession
 Calling – service oriented
 Others – patients
Characteristics by profession
 A – accountability/liability for the result
 C – caring profession  Central Focus
 C – competent
 E – ethics
 S – service oriented
 S – specialized scientific body of knowledge and skills
PROFESSIONAL DUTIES OF A NURSE UNDER RA 9173
All are independent nursing actions
 Promotive, preventive, curative and rehab care in all health care service
 health education
 utilizes nursing process
 link of patients in different health care services
 collaboration of patient’s care for continuity of patient care
 train nursing students
 supervision of subordinates
 accurate recording and reporting
 execution of valid doctor’s order (the only one that is dependent nursing action)
 Perennial Suturing after training
 Perform IE if antenatal bleeding is absent and before full delivery
A doctor’s order is valid when giving medication is when it is put into writing and signed
by the physician. Whatever is not put into writing is considered not ordered by the
physician.
Good Samaritan Act
 During emergency, national calamity, national epidemic there is no doctor around
the life or the patient is in possible danger, then you can give drugs alone
provided you know the drugs for the patient.
RA 8344 – No deposit policy during emergency cases only
Areas of Nursing Practice
1. Institutional Nursing
 Hospital Based Venue
 D – Duties are routinary and supervised
 A – Acquired different learning and technical skills
 C- Coordination with HCT
 S – Specialized areas
o Nurse Generalist – community nurse
o Nurse specialist – staff nurse
2. Public Health Nursing
 Once a Public nurse in the community, you are focus on the preventive and
promotive of health because this is the mandate of Primary Health Care Law.
 1st PHC
o Date : 1978


Declared by Pres. Luke’s
o Mary Johnston Hospital
o St.
o Iloilo Mission hospital
o PGH
o St. Paul Hospital
o San Juan de Dios
Contracts and Consents
Characteristics of a Valid Consent
 V – voluntariness
 O – Opportunities to ask questionbe explained to pt
 T – treatment explained to the patient
 U – understood by pt
 M – matured both physically and mentally
Criteria of a good consent :
 18 y/o – above
 Mentally capacitated (absence of insanity and imbecility)
 If below 18 y/o and mentally incapacitated a proxy consent : in chronological
order
o Parents
o Guardian
o physician (if parents and guardian are dead)
 Guardian Ad Litem – social worker or Surgeon
Nurses and Illegal Detention
 it happens if someone will limit the freedom of the patient to move or travel from
one place to another.
School of Nursing in the Philippines
 UPCN – 1st
 Schools originated in the Phil. Garcia law declaring the last week Oct as the official nurses
week.
 HIV Patient – should be kept in one room
o Felacio – oral sex – most fastest mode of transfer
o Cannalingus – tongue on clitoris
o Analingus – tongue on anus – least mode of transfer
Last Will and Testament
 Act whereby a person is permitted by the law to have control in the manner of
disposing/ giving his estate but will take effect at the time of his death
 Testate Succession – son or daughter will inherit the last will of the parents
 Intestate Succession – without last will and testament
 2 types of Last Will and Testament
o Property
 Notarial/ Ordinary Will
 Check LOC
 Check proper location of the signature – end part of all the
pages at the side
 Nurses can be a witness
 Holographic Will
 During emergency cases
 No witness involved call a persdon who knows and familiar
with the handwritten of the testator
 Entire last will and testament is hand written dated and
signed by the testator
o Life Body
 Advance Directives
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sex
o drug name. dental and veterinary practitioners are authorized to
prescribe drugs
 3 information
o name of the AMD. frequency.


Respectful death
Direction/ instruction of the patient in advance
DNR. objects. donate organ. recording and charting
 Patient Chart – absolutely legal
 Purpose of a patient Chart
o Communication and conitinuity of care
o Assurance of quality of care
o Research
o Legal document
o Statistics of disease
 Subpoena – order coming from the court
o Subpoena Duces Tecum – any documents. factual and objectively accurate
o L – legible
o I – immediate
o P – Personal
 Adendum – late entry/late documentation
 Don’ts in charting
o L – language. death – most important negligence
Malpractice
 injury. age. jargons or words which are unacceptable
o I – improper corrections
o S – Spaces and skips
o Abbreviation
LEGAL DOCTRINES IN NURSING
Professional Negligence
Negligence
 failure to do something which are reasonable and prudent nurse should have
done something under a particular situation. (eg. failure to raise side rales when
the pt is unconscious)
 3 elements of negligence
o duty on part of the nurse
o failure to do said duty
o injury. address of his clinic/hosp and PTRC license #
o name of the pt. harm or death is not important in malpractice
 The nurse is allowed to perform episiorrhapy
 with proper training but not episiotomy
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. papers. materials
o Subpoena Ad Testificandum – person who will testify (witness)
 Do’s in Charting
o F – full. cremation
Medications and prescription
 only registered medical. refer to the physician
 IV drugs – in proper training
Documentation. harm. duration of the drug
 RA 6675 Generic Act
o all prescribe drug must be written in generic and brand name or generic
name but never the brand name alone)
o Purpose : for the pt to choose what brand name they want
 Remember the 10 R’s of medication
 Right patient name by checking the pt wrist tag
 Verbal or telephone – only done during emergency
 doubts or error – in case there is doubt in medication.

The nurse is
the accomplice. Crime with real criminal intention
o CULPA – crimes committed under negligence. (eg.
Committed in both female or male)
o Intervention :
 S – safety (emotional or physical safety)
 R – report (↓ 18 – report to brgy. (3-6month/12-24weeks)
Infanticide
 kill the person in less than 3days or 72hrs of life.. head
nurse to staff nurse).
o accomplice
 participation is merely dispensable. Crimes that are intentional
 stages of execution
o consummated
 when the crime intended is totally committed or perfected
o frustrated
 the offended performs everything to consummate the crime but it
did not happen
o attempted
 crime has not happened (overt acts – acts merely showing the
intention to commit the crime)
 degree of participation
o principal
 degree of participation is very important/indispensable because he
is the primary author of the crime. there is no
crime.
Parricide
 killing another person to whom you have a relationship (mother. husband)
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 That person who is in authority is asking for a sexual favor in an exchange of
another favor.)
 R – referral (if father is the rapist. women are only the victim)
 sexual assault
o anything that is forcible inserted to a body orifice with sexual malice. father.
o accessory
 usually performs after the crime (eg. Sold the nebulizer to an asthmatic pt) This is an
accessory because he benefited from the crime
RA 7877 – Anti sexual harassment law
 committed by any person who exercises authority. referral by the nurse of a abortionist
to a pregnant women) or during the crime eg. (eg. hand or an object is being inserted in the anal.
Types of Rape
 Ordinary rape
o a forcible penetration of an organ for copulation to another organ for
copulation. If no principle.
o Also form of rape (eg.
The nurse is allowed to perform IE but with 2 conditions :
o fetal aberration/ abnormal delivery
o prior to complete delivery
Crimes affecting nurses
 Types of crime :
 Manner of Commission
o DOLO – crimes committed with deceit. teacher to student. stole a nebulizer in the
hospital. refer to DSWD)
Abortion
 is the expulsion or termination of a product of conception before the stage of
viability. The nurse is look out for police.
 Usually performs before (eg. OB nurse is to
perform abortion.

giving wrong information of the gender of the baby)
PD 651 (Birth registration act)
 law any person who assist in giving birth to report within 30 days to the Local
Civil Registration Office
Law Affecting Nurses
 Act 2808 (yr.
 Who formulates the question of the Board Exam? – Board of
Nursing
 In having a license it is a Privilege not a Right
 Board of Nursing issues the license
 PRC issues the certificate of registration
 CHED are the ones who has the power to open and close a
nursing school
 BON just inspects 5 consecutive years of below 80% passing rate. Luke’s school of nursing (1907)
o Mary Johnson’s school of Nursing (1907)
o St.Citizen of R. negligence in
giving meds)
Murder
 intentionally killing another person without any relationship
Simulation of birth
 committed by any person who shall substitute one child to another child or alter
his identities for the purpose of losing his civil status.Homicide
 unintentionally killing another person without any relationship (eg.P. Paul Iloilo 1907)
o San Juan de Dios (1907)
 1st college of nursing (4years) – UP
 RA 7164 (1991)
 RA 9173 (Oct 21.
o C.
 New
o M – MAN
o A – Accredited Nursing Org (PNA)
o S – 7 MAN team (1 chairman. 1919) – first true nursing law
o It removed from the doctor the control of nurses with 3 man team (1
chairman and 2 members all nurses)
 1920 – 1st official board exam
 1st nursing school (6months)
o Iloilo Mission Hospital (1906)
o PGH School of Nursing (1907)
o St.
o N – Not convicted of any crime
o P – Pecuniary interest (Absence)
o T – 10 years nursing practice but 5 yrs must be in the
Phils.Citizen & resident of R.
the school will be closed
 Powers and Functions of BON
o L – Licensure exam
6
. 4 members)
o S – 65 y/o – 1 year interim period
o N – Not convicted of any crime
o P – Pecuniary interest (Absence)
o T – 10 years nursing practice
o C. 2002)
o Board of Nursing
 Old
o M – MAN
o A – Accredited Nursing Org (PNA)
o F – five MAN team (1 chairman. the midwife failed to
report the birth of the baby. (eg.P. 6members)
o I – immediately resigned upon appt.

In order to pass the succeeding examination. an examinee must
obtain a rating of at least 75% in the subject or subjects repeated. results will be released after 5days
PRC rating NAME
Text to 263 (smart) 233 (globe)
o
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What are the grounds for nurse not to be registered?
o D – Dishonorable conduct
o U – Unsound mind
o M – moral turpitude
o I – Indecent immortal conduct
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For every 5.”
RA 8981 –Modernization Act.Early bonding for mother is Early Rooming in and early baby breast
technique for early bonding Early bonding for father is thru cuddling
E. 51 – Milk Code (Breast Milk)
o Avoid manufactured or formula milk
How to be an R.O.N. under 9173
o Have all qualifications
o take the exam
o acquire the required ratings
o In order to pass the examination. an examinee must obtain a general
average of at least 75 % with a rating of not below sixty percent (60%) in
any subject
o An examinee who obtains an average rating of 75% or higher but gets a
rating below 60% in any subject must take the examination again but
only in the subject or subjects where he/she us treated below 60 %
(60%).000.